NR ASWJ
AU Bulois,P.; Maunoury,V.; Houcke,P.; Durocher,A.; Durocher,A.M.; Pasquier,F.; Paris,J.C.
TI Prevalence of risk factors of prion-related disease according to the French circular 138 (DGS/DH/5C/DHOS/E2/2001/138) among patients referred for gastrointestinal endoscopy
QU Gastroenterologie Clinique et Biologique 2005 Jun-Jul; 29(6-7): 664-6
PT journal article
AB AIM OF THE STUDY: To assess the prevalence of risk factors of prion-related disease transmission in a gastrointestinal endoscopy unit. METHODS: Clinical evaluation of the risk of transmission of prion-related diseases using the criteria defined by the French circular 138 in patients referred for digestive endoscopy without anesthesia. RESULTS: 1017 patients were included in this study. According to circular 138, 7 patients (0.68%) were at high risk of transmitting prion-related disease. According to these criteria, a high index of suspicion of prion-related disease was detected in 26 patients (2.55%). Clinical evaluation of risk was not possible for 56 patients (5.51%), due to coma or sedation (38 patients) or communication impairment (18 patients). CONCLUSIONS: Application of circular 138 led us to consider that 2.55% of patients in this study had a high risk of prion-related disease. The circular criteria cannot be assessed in patients with sedation for mechanical ventilation, coma or communication impairment.
MH Endoscopy, Gastrointestinal/*utilization; Female; Humans; Male; Middle Aged; Prevalence; Prion Diseases; Prospective Studies; Referral and Consultation; Risk Factors
AD Service des maladies de l'appareil digestif, Hopital Claude Huriez, Urgence Respiratoire et Reanimation Medicale, France. p-bulois@chru-lille.fr
SP englisch
PO Frankreich